ICD-10-CM Billable Code

S82.112

Displaced fracture of left tibial spine

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the left tibial spine is a specific type of injury where the small bony protrusion at the top of the shinbone (tibia) in the knee area gets broken and moved out of its normal position. The tibial spine, also known as the intercondylar eminence, plays a crucial role in knee stability, especially for the anterior cruciate ligament (ACL). This injury often results from trauma or a sudden force applied to the knee, commonly seen in sports or accidents. Understanding this condition helps patients grasp the nature of the injury, its causes, symptoms, and potential treatments.

Causes & Symptoms

Clinical Causes: High-impact sports activities such as football, soccer, basketball, or skiing that involve sudden stops or twists. Direct trauma or blow to the front or side of the knee during an accident or fall. Sudden twisting or hyperextension of the knee while bearing weight. Falls onto the knee or landing awkwardly after jumping.

Key Symptoms: Severe pain at the front of the knee, especially when trying to move or bear weight. Swelling and tenderness around the knee joint. Difficulty straightening or bending the knee due to pain or instability. Inability to put weight on the affected leg. Visible deformity or unusual position of the knee in some cases. A feeling of the knee giving way or instability.

Diagnostic & Treatment

Diagnosis Path: Diagnosing a displaced fracture of the tibial spine involves a combination of clinical examination and imaging studies. Healthcare providers will assess the patient's history and perform physical tests to evaluate swelling, stability, and range of motion. Confirmatory imaging includes: - **X-rays**: These are the primary tool to visualize the fracture and assess displacement. - **MRI scans**: Sometimes used to evaluate soft tissue damage and the extent of injury surrounding the knee, especially the ligaments. Proper diagnosis ensures appropriate treatment planning and recovery outlook.

Treatment Protocols: Treatment options depend on the severity and displacement of the fracture but generally include: - **Immobilization**: Using a brace or cast to keep the knee stable and allow healing. - **Rest and elevation**: To reduce swelling and promote recovery. - **Pain management**: Medications such as acetaminophen or NSAIDs may be recommended. - **Physical therapy**: After initial healing, exercises will help restore strength, flexibility, and stability. - **Surgical intervention**: If the fracture is significantly displaced or unstable, surgery may be necessary to realign and secure the bone fragments using screws, pins, or other fixation methods. Adherence to medical advice and proper rehabilitation are crucial for optimal recovery and returning to daily activities or sports.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S82.112 a billable ICD-10 code?
Yes, S82.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S82.112?
Clinical documentation must specify the nature of Displaced fracture of left tibial spine and any associated comorbidities for accurate reporting.

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